Hospital Costs > In Louisiana > Louisiana Heart Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 22 | $21.908,50 | 1200 / 24 | $4.119,38 | 9 / 2 | $2.910,77 | 9 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 25 | $25.595,70 | 693 / 13 | $6.591,73 | 9 / 2 | $5.073,36 | 9 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 29 | 121 / 14 | $16.827,00 | 1185 / 25 | $2.968,55 | 51 / 2 | $1.834,17 | 51 / 2 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 19 | 99 / 6 | $146.648,00 | 279 / 7 | $29.952,80 | 122 / 4 | $28.975,20 | 122 / 7 |
| Cellulitis W/O Mcc | 22 | 167 / 30 | $23.332,40 | 1763 / 51 | $4.602,50 | 17 / 1 | $3.064,00 | 17 / 1 |
| Chest Pain | 15 | 136 / 17 | $20.391,90 | 945 / 21 | $3.140,13 | 22 / 1 | $2.092,67 | 22 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 31 | $26.005,80 | 1516 / 34 | $4.778,79 | 145 / 1 | $4.083,93 | 145 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 14 | 188 / 35 | $35.062,30 | 1742 / 39 | $6.089,21 | 168 / 2 | $5.335,50 | 168 / 6 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 41 | 147 / 11 | $35.757,40 | 792 / 22 | $5.708,27 | 52 / 2 | $4.569,98 | 52 / 5 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 14 | 62 / 7 | $149.114,00 | 351 / 8 | $28.116,60 | 176 / 7 | $24.568,30 | 176 / 8 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 26 | 62 / 6 | $120.891,00 | 366 / 11 | $20.553,00 | 155 / 5 | $19.580,70 | 154 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 29 | $24.567,20 | 1846 / 50 | $3.920,59 | 50 / 1 | $2.820,62 | 50 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 32 | 66 / 9 | $39.553,90 | 628 / 16 | $5.463,81 | 30 / 2 | $4.333,81 | 30 / 3 |
| G.I. Hemorrhage W Cc | 29 | 189 / 21 | $28.612,70 | 1479 / 33 | $5.208,76 | 48 / 1 | $4.190,00 | 48 / 1 |
| Heart Failure & Shock W Cc | 54 | 224 / 24 | $27.361,10 | 1828 / 54 | $5.138,39 | 19 / 4 | $3.987,96 | 19 / 2 |
| Heart Failure & Shock W Mcc | 33 | 251 / 33 | $42.653,00 | 1769 / 45 | $8.192,45 | 331 / 6 | $7.459,36 | 331 / 7 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 23 | $18.578,50 | 1195 / 33 | $3.462,13 | 47 / 1 | $2.655,73 | 47 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 31 | $29.227,50 | 1102 / 23 | $5.563,42 | 91 / 2 | $4.555,42 | 91 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 41 | $17.793,80 | 1321 / 35 | $3.998,44 | 38 / 2 | $2.960,83 | 38 / 2 |
| Major Cardiovasc Procedures W/O Mcc | 25 | 76 / 6 | $90.583,40 | 499 / 7 | $17.685,50 | 70 / 1 | $16.622,10 | 70 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 18 | 546 / 53 | $74.546,50 | 2104 / 41 | $11.634,60 | 534 / 15 | $10.368,80 | 530 / 23 |
| Other Vascular Procedures W Cc | 21 | 81 / 12 | $86.994,70 | 718 / 15 | $15.194,40 | 339 / 8 | $14.112,50 | 337 / 12 |
| Other Vascular Procedures W Mcc | 13 | 84 / 15 | $100.257,00 | 604 / 14 | $18.175,00 | 133 / 3 | $17.335,50 | 133 / 4 |
| Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 9 | $57.052,90 | 362 / 11 | $8.884,27 | 35 / 2 | $7.898,09 | 35 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 56 | 140 / 9 | $66.425,30 | 604 / 13 | $10.910,10 | 107 / 2 | $9.453,70 | 107 / 8 |
| Renal Failure W Cc | 28 | 193 / 30 | $26.584,50 | 1527 / 31 | $5.055,96 | 70 / 1 | $4.099,46 | 70 / 2 |
| Renal Failure W Mcc | 18 | 177 / 31 | $29.422,20 | 728 / 13 | $7.867,00 | 123 / 1 | $7.331,89 | 123 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 19 | 497 / 44 | $43.052,30 | 1481 / 35 | $9.657,53 | 234 / 3 | $9.022,58 | 234 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 34 | $26.947,50 | 1420 / 31 | $5.433,82 | 59 / 1 | $4.504,36 | 59 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 42 | $29.985,80 | 1946 / 46 | $5.026,62 | 33 / 1 | $3.918,92 | 33 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 30 | $37.135,10 | 1456 / 23 | $7.486,47 | 208 / 2 | $6.846,47 | 208 / 6 |
| Spinal Fusion Except Cervical W/O Mcc | 18 | 176 / 16 | $121.233,00 | 940 / 19 | $25.725,30 | 427 / 17 | $21.421,30 | 424 / 19 |
| Syncope & Collapse | 22 | 147 / 16 | $24.036,90 | 1166 / 24 | $3.782,59 | 34 / 1 | $2.793,50 | 34 / 1 |
| Transient Ischemia | 11 | 114 / 19 | $24.656,70 | 940 / 21 | $3.641,27 | 9 / 1 | $2.431,09 | 9 / 1 | Total 34 procedures | 739 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.